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General NPI Number Information
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NPI Number | 1184726721
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Entity Type | Organization
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Legal Business Name | SUMMERS NEUROSURGERY, LLC
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 15739 PROFESSIONAL PLZ
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City | HAMMOND
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State | LA
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Zip | 70403-1452
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Country | US
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Telephone | 985-419-7767
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Fax | 985-419-7771
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Provider Business Mailing Address
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Address Line | 15739 PROFESSIONAL PLZ
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City | HAMMOND
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State | LA
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Zip | 70403-1452
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Country | US
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Telephone | 985-419-7767
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Fax | 985-419-7771
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Authorized Official
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Title or Position | OWNER
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Name | LORI E SUMMERS
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Credential | MD
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Telephone | 985-419-7767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 024426
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License Number State | LA
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